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  1. -------------------------------------------------------------------------------
  2.  
  3.             FLU_SHOT+ Registration
  4.  
  5. Please fill out this form, then mail it along with a check for
  6. $10 (or more!) to:
  7.  
  8.             Ross M. Greenberg
  9.             Software Concepts Design
  10.             594 Third Avenue
  11.             New York, New York 10016
  12.  
  13.  
  14. Thanks for your support!
  15.  
  16. Name:_________________________________________________________
  17.  
  18. Title:________________________________________________________
  19.  
  20. Company:______________________________________________________
  21.  
  22. Address:______________________________________________________
  23.  
  24.         ______________________________________________________
  25.  
  26. City:   _____________________     State: _________  Zip:______
  27.  
  28. Telephone:__________________________________
  29.  
  30. Comments and Suggestions:____________________________________________________
  31.  
  32.          ____________________________________________________________________
  33.  
  34.          ____________________________________________________________________
  35.  
  36.          ____________________________________________________________________
  37.  
  38.          ____________________________________________________________________
  39.  
  40.  
  41. Where did you get FLUSHOT3 from (check one, fill in the blank)?
  42.  
  43.         [__]  User Group  (which one:________________________________________)
  44.  
  45.         [__]  BBS  (Name:_______________________)(Tel #:_____________________)
  46.  
  47.         [__]  Other (Such as:________________________________________________)
  48.  
  49.  
  50. Please send me more information on:
  51.  
  52.     [__]  RamNet, *the* background communications program
  53.  
  54.     [__]  The Programmer's Co_operative
  55.  
  56.     [__]  FLU_SHOT+ Hardware Protection Add-On's (commercial product)รจ
  57.     [__]  Enclosed is my check for $149.  I'll take you up on your
  58.           30 day money-back guarantee. Ship me RamNet immediately!
  59. -------------------------------------------------------------------------------
  60.